赋能教育模式在干眼患者健康教育中的应用

Application of empowerment education mode in health education for patients with dry eye syndrome

目的:探讨赋能教育模式在干眼患者健康教育中的应用价值。方法:选取2017年6月至12月期间首诊于南方医科大学珠江医院眼科的干眼患者,按照完全随机分配法分为试验组(n=73)及对照组(n=73),试验组采用赋能教育模式,对照组采用传统健康教育方式。经治疗1周、1个月、2个月及6个月后,分别随访并记录每组患者的眼表疾病指数(ocular surface disease index,OSDI)、泪膜破裂时间值(tear film break up time,BUT),同时记录患者家庭护理(清洁睑缘、热敷、睑板腺按摩)频率以及复诊频率。结果:赋能教育组家庭护理频率及复诊频率均优于传统教育组(P<0.05)。治疗前两组OSDI和BUT差异均无统计学意义(P>0.05),但试验组OSDI随时间的推移呈下降趋势,BUT值呈上升趋势;而对照组OSDI以及BUT值的变化均不明显。结论:运用赋能教育模式有助于提高干眼患者治疗的依从性,提高患者的家庭护理频率和复诊频率,显著改善患者的眼表情况,进而提高长期治疗效果。

Objective:To evaluate the application value of empowerment education mode in health education for patients with dry eye syndrome.Methods:Patients with dry eye syndrome were recruited from Department of Ophthalmology,Zhujiang Hospital,Southern Medical University from June 2017 to December 2017.All patients were randomly divided into the experimental group(n=73),educated with empowerment education mode,and control group(n=73),treated with traditional health education.Patients were followed up after 1 week,1 month,2 months and 6 months,respectively.Data were collected in each follow-up visit including ocular surface disease index(OSDI),tear film break up time(BUT),the frequency of home care(cleaning eyelid margin,hot compress,palpebral gland massage)and re-visit frequency.Results:The OSDI and BUT were similar between two groups before corresponding treatment(P>0.05).After the treatment,patients in the experimental group showed a downtrend in the OSDI and uptrend in the BUT.No significant changes were found in the control group during the follow-up.The frequency of family nursing and re-visit in the experimental group was statistically higher than that in the control group.Conclusion:The application of empowering education mode can improve the compliance of dry eye patients,improve the frequency of home care and follow-up visit,and mitigate the ocular surface of patients,thereby enhancing the long-term efficacy.